Alabama Business Application - City Of Trussville
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3CITY O}' TRUSSVILLE, ALABAMA
BUSINESS APPLICATION
Complete and Mail of Fax To:
Applicant Complete This Box
Form of ownership (Check One
CITY OF TRUSSVILLE
0 Sole Proprietorship
131 MAIN STREET
0 Partnership
DOther
P.O. BOX 159
0
Professional Assoc.
TRUSSVILLE, AL35J73
0 Corporation
D LLC
(205)-6SS~7478 FAX (205) 655~7487
Name/Phone # for Contact Person
L--.J
List Following for Owner(s), Partners. or Officers (Attach separate sheet if necessary)
Name
Residence Address
SSN OR FED 10
Title
Date Business Activity Initiated or Proposed in Trussvil1e:__-
No. of Employees in Trussville
Estimated Gross Receipts for remainder of Year
This application has been examined by me and is, to the best of my knowledge, a true and complete representation of the above named entity, and
person(s) listed.
Date
Signature
Title
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Parent category: Business